COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. FINAL REPORT UNDER MODIFIED ADMINISTRATION : SUPPORTING SCHEDULE ACalendar No. Reportable Property : -against- Estate of: JUDICIAL SUBPOENA : Plaintiff(s) Estate No: : Item No. Description Basis of Valuation Value : Defendant(s) : ...................................................... THE PEOPLE OF THE STATE OF NEW YORK TO GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. TOTAL REPORTABLE PROPERTY OF THE DECEDENT Witness, Honorable (CARRY FORWARD TO SCHEDULE C) Court in County, day of , one of the Justices of the $ , 20 INSTRUCTIONS (Attorney must sign above and type name below) ALL REAL AND PERSONAL PROPERTY MUST BE INCLUDED AT DATE OF DEATH VALUE. THIS DOES NOT INCLUDE INCOME EARNED DURING ADMINISTRATION OR CAPITAL GAINS OR LOSSES REALIZED FROM THE SALE OF PROPERTY DURING ADMINISTRATION. ATTACHED APPRAISALS OR COPY OF REAL PROPERTY ASSESSMENTS AS REQUIRED: Attorney(s) for 1. Real and leasehold property: Fair market value must be established by a qualified appraiser. For decedents dying on or after January 1, 1998, in lieu of a formal appraisal, real and leasehold property may be valued at the full cash value for property tax assessment purposes as of the most recent date of finality. This does not apply to property tax assessment purposes on the basis of its use value. Office and P.O. Address 2. The personal representative may value: Debts owed to the decedent, including bonds and notes; bank accounts, building, savings and loan association shares, money and corporate stocks listed on a national or regional exchange or over the counter securities. Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: 3. All other interests in tangible or intangible property: Fair market value must be established by a qualified appraiser. RW 1143 - Page 2 of 4 2003 PDF ATTACH ADDITIONAL SCHEDULES AS NEEDED American LegalNet, Inc. www.USCourtForms.com